| Mary M Buxton Lcsw, Inc | |
|
15951 Los Gatos Blvd #14 Los Gatos CA 95032-3428 | |
| (408) 371-4847 | |
| Not Available |
| Full Name | Mary M Buxton Lcsw, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 15951 Los Gatos Blvd, Los Gatos, California |
| Authorized Official Name and Position | Mary Martin Buxton (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4088108624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Buxton Lcsw, Inc 15951 Los Gatos Blvd #14 Los Gatos CA 95032-3488 Ph: (408) 371-4847 | Mary M Buxton Lcsw, Inc 15951 Los Gatos Blvd #14 Los Gatos CA 95032-3428 Ph: (408) 371-4847 |
| NPI Number | 1871969402 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871969402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LCS7780 (California) | Primary |
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